IgM Diaphoresis Palmar Pallor Ineffective tissue perfusion related to decreased HgB concentration in the blood secondary to Dengue fever Dengue fever ususally results in abrupt onset of high fever‚ headache‚ myalgias‚ arthralgias‚ and lymphadenopathy‚ followed by a rash that appears with a 2nd temperature rise after an afebrile period. Dengue can also cause potentially fatal hemorrhagic fever with bleeding tendency and shock. Reference: Merck Manual Short-term goal: After8 hours of nursing
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CC Follow up hypertension‚ hypomagnesemia‚ GERD. Eye irritation. S The patient is a 61-year-old gentleman who has a history of hypertension as well as PACs and PVCs. He is followed by Erin J. Rafferty‚ MD for these. He was experiencing quite a bit of fatigue on metoprolol 50 mg b.i.d. and she did decrease him to 25 mg b.i.d. He states this has made a tremendous difference in his energy level. He feels tremendously improved with this. The patient does tell me his blood pressures at home have
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HISTORY AND PHYSICAL EXAMINATION Patents Name: Benjamin Engelhart Patients ID: 112592 DOB: 10/05/---- Age: 46 Sex: M Date of admission: 11/14/---- Emergency Room Physician: Alex McClure‚ MD. Admitting Diagnosis: Acute appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis. Present to the emergency room after having had three days of abdominal pain. It initially
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HISTORY AND PHYSICAL - CASE 2 Patient: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/1966 Age: 46 Sex: Male Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure‚ M.D. Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis‚ presents to the emergency room after having had three days of abdominal pain
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3/11/13 Adrenal glands- on top of kidneys - attached to kidneys via connective tissue capsule -cortex- stimulated by ACTH 3 layers 1. - zona glomerulosa - releases mineral corticoids - aldosterone: anti-diuretic. Retain na+ --> leads to h2o retention (Low levels of aldosterone)-->. Hypovolemia- low blood volume-->. leads to low blood pressure 2. - zona fasciculata- glucocorticoids - cortisone‚ cortisol -resist
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HISTORY AND PHYSICAL EXAMINATION Patient Name: Deanna Martinez ID No.: 117232 Room No.: 425 Date of Admission: 05/26/2013 Admitting Physician: Sheila Goodman‚ MD Admitting Diagnosis: Questionable herniated disk Chief Complain: Low back pain‚ right leg pain. HISTORY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain. She said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent
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HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure‚ MD Admitting Diagnosis : Acute Appendicitis. HISTORY OF PRESENT ILLNESS: This 46-year-old gentle man‚ with past medical history‚ significant only fo r degenerative disease of the bilateral hips‚ seconda ry to arthritis‚
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disease caused by a family of viruses that are transmitted by mosquitoes. It is an acute illness of sudden onset that usually follows a benign course with symptoms such as headache‚ fever‚ exhaustion‚ severe muscle and joint pain‚ swollen glands (lymphadenopathy)‚ and rash. Other signs of dengue fever include bleeding gums‚ severe pain behind the eyes‚ and red palms and soles. Dengue (pronounced DENG-gay) can affect anyone but tends to be more severe in people with compromised immune systems. Because
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and mild decrease in bowel motility (Prommer‚ Twycross‚ Myhalyo‚ & Wilcock‚ 2011); other side effects of that drug can be arrhythmia‚ hypotension‚ edema‚ sinus bradycardia‚ orthostatic hypotension‚ severe skin reactions‚ tumor flare‚ increased lymphadenopathy‚ enlargement of the spleen‚ seizures‚ altered temperature sensitivity‚ irregular menstrual cycles‚ hypothyroidism or an increase in HIV viral
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A Case Study on Chronic Obstructive Pulmonary Disease Elmer P. Samoy‚ RN Case Summary History A case of a 68 y/o White male‚ who sought consult primarily for evaluation and management of severe dyspnea. The patient was apparently well until about 6 months prior to consult‚ when he began to experience dyspnea when walking more than 20 ft.‚ associated with chronic productive cough. No consult was done‚ no medications taken‚ and no weight loss reported. Three days prior to consult‚ the patient’s
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